National Vaccine Plan Implementation
Summary of Stakeholder Meetings
EXECUTIVE SUMMARY
Before the development and widespread use of safe and effective vaccines, infectious diseases caused serious
illness in millions of children and adults across this country. Today, children, adolescents, and adults can receive
immunizations to protect against 17 infectious diseases once common in the United States.
The 2010 National Vaccine Plan provides a strategic approach to prevent infectious diseases through vaccination
efforts and focuses on methods to advance vaccine research and development, financing, supply, distribution,
safety, global cooperation, and informed decision-making among consumers and health care providers.
Implementation of the National Vaccine Plan will require the efforts of all stakeholders involved in the vaccine
enterprise.
Public health partners and consumers gathered to provide feedback and techniques to achieve the strategies
identified in the National Vaccine Plan. Participants specifically addressed implementation barriers including
communication, vaccine safety, measurement, and funding challenges.
Recurring Stakeholder Engagement Recommendations
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Identify local barriers to achieve high vaccination coverage rates and examine current policies to
address these challenges.
Improve immunization information systems to allow for sharing of vaccine data between states, and
perhaps across country borders or between tribal and state systems.
Communicate vaccine safety data and provide education regarding vaccine-monitoring techniques.
Build and foster collaborative relationships between state health departments, tribal nations, and
border communities within their respective regions. Consider combining efforts and sharing lessons
learned.
Identify communication partners and methods to address the targeted audience using familiar
channels to provide credible information in a culturally and linguistically competent manner.
Collaborate with community organizations in the
local and regional area to understand the
needs of the targeted population and provide
consistent messages between partners.
This document contains a s ummary of stakeholder
discussions intended to inform implementation methods for
achieving the National Vaccine Plan. The success of this plan
will require all relevant stakeholders, including federal, state,
and local agencies, public health, health care providers, and
consumers to work together to ensure a coordinated
response.
National Vaccine Plan Implementation: Summary of Stakeholder Meeting
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INTRODUCTION
A series of regional stakeholder meetings, hosted by the National Vaccine Program Office (NVPO) in
collaboration with the Association of State and Territorial Health Officials (ASTHO), were held to seek guidance
from immunization partners on methods to shape implementation of the National Vaccine Plan.
The National Vaccine Plan
The National Vaccine Plan aims to prevent infectious disease and reduce vaccine adverse reactions by providing
policy and scientific direction. This 10-year strategic plan aspires to achieve five broad goals:
• Develop new and improved vaccines.
• Enhance the vaccine safety system.
• Support communications to enhance informed vaccine decision‐making.
• Ensure a stable supply of, access to, and better use of recommended vaccines in the United States.
• Increase global prevention of death and disease through safe and effective vaccination.
The Implementation Plan
An implementation plan, developed to complement the National Vaccine Plan, addresses priorities, identifies
barriers for specific goals and populations, defines strategies for achieving objectives, and designates indicators
for measuring success.
A series of stakeholder meetings were held to gain local perspectives and input on implementation of the plan.
Meetings focused on topics derived from the National Vaccine Plan priorities, and organizers sought to gain
insight from different communities on how to measure progress, implement innovative solutions to barriers,
and recognize new opportunities for action.
A summary of the following stakeholder meetings is included in this document. This summary represents a
synthesis of comments and opinions shared during the meetings that were generally supported by those in
attendance, but no formal consensus process was employed.
Meeting Name
I. Third Party Billing for Vaccines
II. Adult Vaccination, Communication Campaigns, and
Health Disparities
III. Health Information Technology and Immunizations
IV. Tribal Health
V. Border Health—U.S. Department of Health and Human
Services Region IX and VI
Location
Washington, DC
Philadelphia, PA
Date
July 28, 2011
September 13, 2011
Ann Arbor, MI
Anchorage, AK
Lawrence, KS
San Diego, CA
Brownsville, TX
September 22, 2011
September 26, 2011
November 3, 2011
October 5, 2011
Learn more about the National Vaccine Plan by visiting http://www.hhs.gov/nvpo/vacc_plan/
National Vaccine Plan Implementation: Summary of Stakeholder Meeting
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I.
THIRD PARTY BILLING FOR VACCINES:
WASHINGTON, DC - JULY 28, 2011
BACKGROUND
An increasing number of patients with private insurance utilizing health department clinics and the changing
financial landscape have prompted the federal government to support state and local health departments in
their efforts to bill for services rendered to insured clients. In 2009, the Centers for Disease Control and
Prevention (CDC) granted funding to 14 states to develop strategies that would enable them to bill private
insurance companies for vaccine. In 2011, the CDC provided supplementary financial support to the states to
implement their plans, and funded an additional 14 states to begin to develop reimbursement strategies within
public health department clinics. Billing private insurance is new to many public health clinics and has
consequently been a challenge for many states.
MEETING OUTCOME
The stakeholder meeting addressed some of the barriers that health
departments have encountered. The group identified how national-level
policies or practices might simplify the efforts of state and local health
departments in setting up billing systems. Some of the challenges included
becoming an in-network provider, credentialing requirements, and
eligibility determination.
Some of the specific potential solutions discussed during the meeting
include:
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Determining the types of insurance coverage for clients who use
public health department services and conducting an analysis of
the potential costs and savings when implementing a sustainable
billing system for vaccines.
Recommending that public health departments become in-network providers.
Determining at the national level how best to categorize public health departments for the purpose of
contracting.
Credentialing the health department as an entity rather than each individual within the facility;
recognizing that each state has specific requirements for this process.
Developing a contract for each state health department and then separate billing subcontracts with
each of the local health departments.
Public health and private insurance companies working together to develop a toolkit to guide state and
local health departments through the process.
National-level insurance companies communicating with their regional and local branches about this
project while identifying best practices and consistent policies in working with public health.
National Vaccine Plan Implementation: Summary of Stakeholder Meeting
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NEXT STEPS
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Insurance companies should develop a payer fact sheet to help health departments understand the
payer’s perspective.
America’s Health Insurance Plans (AHIP) agreed to outline the key elements of a “typical” contract for
public health departments.
The meeting participants emphasized the importance and necessity of this project. All agreed to
continue to identify issues that can be addressed and simplified at the national level to assist state and
local health departments to work effectively with insurance companies.
The National Association of County and City Health Officials (NACCHO) plans to develop a toolkit to
assist state and local health departments with billing practices.
Participants plan to work together to explore national level tools and strategies to assist state and local
health departments with this billing effort.
National Vaccine Plan Implementation: Summary of Stakeholder Meeting
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II.
ADULT VACCINATION, COMMUNICATION CAMPAIGNS, AND HEALTH
DISPARITIES:
PHILADELPHIA, PA - SEPTEMBER 13, 2011
BACKGROUND
A series of panel presentations and discussions offered an opportunity for providers and community partners to
learn about and discuss adult vaccination campaigns, vaccine risk communications, and vaccine coverage
disparities among minority populations.
MEETING OUTCOME
Session I: Adult and Young Adult Vaccine Campaigns
Adult vaccination is especially difficult due to limited funding, and
co-pays or upfront out-of-pocket costs remain barriers to improved
vaccination coverage for this cohort. Speakers stressed the
importance of receiving vaccines in a consistent and convenient
medical care setting.
Session II: Risk Communication and Vaccine
Risk communication surrounding the 2009 H1N1 influenza
pandemic was well coordinated; however, challenges remained due
to concurrent vaccination campaigns (seasonal and 2009 H1N1
influenza), delays in 2009 H1N1 influenza vaccine production, and
the public’s perception of swift vaccine approval without adequate
testing.
Speakers discussed the importance of using familiar channels to
provide credible information in an appropriate, consistent, and
culturally competent manner, and to educate providers on how to
frame discussions. To be more effective, providers could discuss
vaccination risk from the perspective of a p arent or caretaker’s
interests and responsibilities. Presenters believed the public
perception of vaccine safety would be enhanced by communicating
Vaccine Adverse Event Reporting System (VAERS) results and
informing the public of the attention to detail to ensure vaccine
safety.
National Vaccine Plan Implementation: Summary of Stakeholder Meeting
Best Practice Example
Tracking immunization coverage rates in
a college setting can be difficult. The
University of Pennsylvania had success
when they instituted a rule that students
cannot sign up for their next semester’s
courses or receive transcripts until they
are up-to-date with their required
immunizations; however, challenges still
exist due to limited mandates for parttime students, faculty, summer students,
and off-campus students.
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Best Practice Example
Traditionally, healthcare worker
influenza vaccination rates have been
below national goals. A successful
healthcare worker vaccination program
at the Children’s Hospital of Philadelphia
(CHOP) integrated mandatory
participation over a period of years. As of
May 2009, CHOP had a 99.6 percent
influenza immunization compliance rate,
up from 57 percent during the 2004-2005
influenza season before mandatory
vaccination was enacted.
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Best Practice Example
During the 2009 H1N1 influenza
pandemic, the West Virginia
Department of Health and Human
Resources (DHHR) used focus
groups with parents of school-aged
children to shape their messaging
campaign. Parents indicated the
messenger was very important and
that they trusted public health
professionals. They also pointed out
that messages should be fact-based
and not intimidating or
threatening. The resulting
messaging campaign used Dr.
Catherine Slemp, the acting state
health officer, as the face on
materials. The West Virginia DHHR
also collaborated with the West
Virginia Department of Education
to create “get the facts” video clips.
Dr. Slemp encouraged vaccination
against 2009 H1N1 and seasonal
influenza as both a healthcare
professional and a mother. As a
result, West Virginia achieved
comparable vaccination coverage
for seasonal influenza and higher
coverage for 2009 H1N1 influenza
compared to national coverage
rates.
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Session III: Racial and Ethnic Disparities in Vaccine Coverage
Presenters discussed working with partners to address low vaccination
rates among minority populations and stressed the importance of
understanding important influencers within different racial and ethnic
groups. Stakeholders also expressed the importance of strengthening
systems within minority healthcare practices such as standing orders,
electronic health record systems, and consistent vaccine distribution
methods.
NEXT STEPS
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Identify local barriers to achieve high vaccination coverage rates
and examine current policies to address these obstacles.
Educate providers and the public about VAERS.
Identify communication partners and methods to address the
targeted audience.
Collaborate with community organizations in the local and
regional area that understand the needs of targeted populations
and how to reach them.
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Best Practice Example
During the 2009 H1N1 influenza
outbreak, the Minority Outreach
and Technical Assistance program
in Maryland provided linguistically
and culturally appropriate
educational materials to the public.
Lessons learned were to plan
programs well, have incentives, and
build capacity before an outbreak.
National Vaccine Plan Implementation: Summary of Stakeholder Meeting
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III.
HEALTH INFORMATION TECHNOLOGY AND IMMUNIZATIONS:
ANN ARBOR, MI – SEPTEMBER 22, 2011
BACKGROUND
In 2009, the Health Information Technology for Economic and Clinical Health Act (HITECH) was passed to
improve healthcare delivery through support of meaningful use of electronic health records (EHR). An incentive
program was established to provide funding for eligible professionals, hospitals, and critical access hospitals
when they adopted certified EHR technology and successfully demonstrated meaningful use of EHRs to improve
quality, safety, and patient-centered care. One opportunity to achieve meaningful use is to attain
interoperability between EHRs and immunization information systems (IIS).
MEETING OUTCOME
This meeting provided a f orum for grantees to share challenges and lessons learned when working toward
interoperability between EHR and IIS. Representatives from the Utah, New York City, Minnesota, Michigan,
Arizona, Colorado, Wyoming, and Rhode Island health departments presented and participated in panel
discussions.
Challenges in Achieving EHR and IIS Interoperability s
• Programmatic challenges include fiscal delays, varying expectations, competing agency priorities,
reduced funding, hiring freezes, and interface failures when upgrades are introduced.
• Each product requires a separate development effort, and the contract process with vendors can be
time consuming.
• Vendors have different timelines than users and their level of knowledge varies.
• There is limited interest in bi-directional communication among vendors, a large number of vendors
to collaborate with, and technical support is not always prompt.
• Federal transport requirements need to be better aligned with IIS needs.
• Providers can still send bad data utilizing Health Level 7 (HL7) mechanisms and therefore data
quality testing will need to continue.
• Some provider offices are not interested in developing an IIS interface. Providers intend to meet
Stage 1 requirements, but some are hesitant to implement additional requisites.
• Working with a central IT office to provide
clarification on testing and differences
between meaningful use and lab reporting
can take time and effort.
• The Family Educational Rights and Privacy
Act (FERPA) prevents schools from
providing immunization information to
EHRs, however, in many states staff are
able to query the IIS system to find student
immunization histories.
• In some states, adult data collection is not
legislatively authorized and this creates
gaps in immunization information among
this population.
National Vaccine Plan Implementation: Summary of Stakeholder Meeting
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Lessons Learned When Working Toward Attaining EHR and IIS Interoperabilitys
• Implementation guidelines, work plans, and action items should be set up early to motivate both
EHR vendors and providers.
• Interface development takes time, and although data may test accurately, this does not always
translate into a successful pilot.
• During initial meetings with vendors, states should reach a common understanding of expectations,
develop a m anual template, inquire about procedures for handling errors, and ask for a
demonstration of the user interface. States should also reach out to vendors proactively and
regularly, remain realistic about the workload, and monitor upgrades closely.
• It is helpful to work closely with the implementation site from the start, offer various transport
mechanisms, have a champion on site, and provide progress reports to providers.
• It is beneficial to collaborate with the Regional Extension Centers (REC), to update federal partners
about the complexity of state processes, and push providers to follow steps for successful
implementation.
NEXT STEPS
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Consider combining efforts and sharing lessons learned when working with vendors.
Determine methods to address barriers including competing visions, lack of funding, timing pressures,
and difficulty communicating to providers the capacity of meaningful use.
Look to the Centers for Medicare and Medicaid Services (CMS) for assistance, and work with RECs,
health information exchanges, medical or information technology societies (e.g., Healthcare Information
and Management Systems Society or the state or local American Academy of Pediatrics chapter),
primary care providers, and hospital associations to assist with efforts.
National Vaccine Plan Implementation: Summary of Stakeholder Meeting
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IV.
TRIBAL HEALTH:
ANCHORAGE, AK – SEPTEMBER 26, 2011
LAWRENCE, KS – NOVEMBER 3, 2011
BACKGROUND
The Indian Health Service (IHS) provides medical and public health services to members from one of more than
500 federally recognized tribes and Alaska Natives; this includes care to 1.9 million¹ of the approximately 3.7
million² people who self-identify as American Indian or Alaska Native (AI/AN) in the United States. While all
federally recognized AI/AN people are entitled to healthcare through IHS or tribal-contract facilities, there needs
to be a broader approach to healthcare for this population. This is especially true given that approximately 57
percent³ of AI/AN people live in urban areas, and with IHS facilities traditionally located in rural communities,
this leaves a large AI/AN population utilizing other services.
MEETING OUTCOME
Stakeholders convened at the 2011 National Indian Health Board (NIHB) Annual Consumer Conference in
Anchorage, AK, and at Haskell Indian Nations University in Lawrence, KS to gather feedback on improving
vaccine communications, safety, financing, and measurement issues specifically within tribal populations.
Participants suggested:
Communications
• Streamlining communications to ensure consistent messages among state, local, and tribal entities,
and using success stories as a way to advocate for vaccination.
• Providing culturally and linguistically appropriate communication that is specific to the audience and
candid about the benefits and risks of vaccination.
• Building relationships and infrastructure to connect smaller tribes that have traditionally
experienced challenges gaining access to health services.
• Addressing misinformation and using sympathy as a tool to get the message across. It is essential to
use trusted sources of health information (e.g., tribal leaders, physicians) and understand tribal
values (e.g., elders and children come first).
• Using community settings to deliver the message (e.g., daycare centers, senior centers, and
empowering youth to be messengers) and advocating for better communication technology systems
(e.g., radio, newsletters, mass mailings) to improve communication methods.
Vaccine Safety
• Communicating the mechanisms in place to ensure vaccine safety and providing a better
explanation of the VAERS program. In addition, uniform guidelines for reporting VAERS incidents, if
adopted, would create data consistency and criteria for collecting information on vaccine adverse
events.
• Supplying vaccine reaction data to the public and including AI/ANs in post-licensure studies.
National Vaccine Plan Implementation: Summary of Stakeholder Meeting
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Providing consumers with supplementary information rather than solely Vaccine Information
Statements (VIS) and acknowledging that while vaccines are not 100 percent safe, the benefits of
immunization far outweigh the risks.
Offering an immunization certification curriculum to help shape consistent messaging, and
educating healthcare providers on immunization techniques and schedules with an emphasis on
safety and proper storage of vaccines.
Using the diabetes education model and translating evidence-based strategies to vaccine safety.
Finances
• Proposing a national adult immunization program modeled after the Vaccines for Children (VFC)
program.
• Communicating to the AI/AN population the services covered within their health plan and
recognizing the health plan procedures (e.g., method for completing forms or time to process a
claim).
• Forming a “Tribal United Healthcare Insurance” plan for all tribes and nations in the United States or
regional united tribal healthcare insurance coalitions. These coalitions would work with the large
insurance companies in the region to negotiate contracts and coverage.
• Utilizing strategies such as private/public partnerships or voucher programs.
• Understanding that while many tribal nations recognize the importance of making healthcare more
affordable, they are sovereign and therefore have independent authority regarding healthcare
reform decisions.
Measurement
• Improving interoperability of EHRs to enhance communication between states and systems (e.g.,
state IIS talking with IHS's Resource and Patient Management System [RPMS]).
• Enhancing systems to identify AI/ANs as part of a n ative or
tribal community. Many AI/ANs live in urban areas and, with
increased movement, it may be difficult to measure
During the recent H1N1 influenza
successes and identify needs among AI/AN people.
outbreak, AI/ANs experienced four
times⁴ higher death rates when
• Recording children who opt-out of school immunization
compared to the general United
requirements and strengthening disease-reporting systems.
States population, demonstrating
• Addressing barriers such as incomplete state reporting of
persistent disparities among this
racial/ethnic data, lack of private providers utilizing IIS, and
community.
limited training on complex multiple IIS data systems.
• Exploring the potential to bar code vaccine vials to help with
registry data collection input and including race and ethnicity
information in registry data.
• Unifying the fragmented network of care for the AI/AN
population and fostering relationships between tribal groups
and health departments.
National Vaccine Plan Implementation: Summary of Stakeholder Meeting
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NEXT STEPS
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Work with IHS and organizations such as the NIHB and Alaska Native Tribal Health Consortium to
identify opportunities for partnership and innovation.
Share success stories from IHS and tribal health systems to improve financing, measurement,
communication, and vaccine safety. Work with local and regional tribes, and IHS to identify ways to
incorporate these lessons learned into new settings.
Collaborate with IHS, CDC, and federal agencies to identify methods to improve inclusion of AI/AN
people in data collection.
Engage with healthcare providers of AI/AN people to identify opportunities to improve immunizations.
Build and foster collaborative relationships between state health departments and tribal nations within
their respective regions.
Improve linkage between tribal and state IIS.
National Vaccine Plan Implementation: Summary of Stakeholder Meeting
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V.
BORDER HEALTH –
U.S. DEPARMENT OF HEALTH AND HUMAN SERVICES
REGION IX and VI:
.
SAN DIEGO, CA and BROWNSVILLE, TX – OCTOBER 5, 2011
BACKGROUND
In coordination with Border Bi-national Health Week, stakeholders gathered to discuss implementing
immunization priorities within United States-Mexico border communities. A success story within border
communities has been the relatively high immunization rates, especially among Hispanic children; however,
limited access to healthcare and negative healthcare provider or parental attitudes toward immunizations are
potential barriers to receiving vaccine. In addition, socioeconomic
barriers, information gaps, and a delay in starting a vaccination series
can contribute to lower completion rates. Adolescents face unique Enhanced communication and
barriers, such as lack of parental consent and low healthcare utilization coordination among border
communities has led to increased
rates.
Potential interventions to increase immunization coverage include
recall-reminder notification, lower out-of-pocket immunization costs,
and feedback to healthcare providers on the status of their patient’s
immunization completion rates.
surveillance and attention to health
outcomes.
MEETING OUTCOME
Stakeholders convened to determine strategies to increase awareness of vaccines among border communities,
eliminate financial barriers, and improve global surveillance systems for vaccine-preventable disease.
Participants suggested:
Communications
• Creating a culturally inclusive bi-national communications
plan utilizing evidence-based models with multiple evaluation
components. A federal communications plan or toolkit could
be of assistance, but state or local health departments
ultimately need to evaluate their district to create a relevant
community-based program for maximum success.
• Providing culturally appropriate messages developed from
the standpoint of pride in protecting the family and utilizing
celebrities, teachers, doctors, nurses, and admired local
citizens to promote positive messages about vaccines. A
variety of mediums, such as social media, public service
announcements, billboards, radio, television, newspaper or
waiting room advertisements, and promotions during
telenovelas could be utilized.
National Vaccine Plan Implementation: Summary of Stakeholder Meeting
Promotoras, also known as health
advocates or peer leaders, could
play an important role in the
promotion of community-based
health education and prevention in
a culturally and linguistically
appropriate manner, and should be
considered important partners to
reach out to underserved
populations in border communities.
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Tools such as text, phone, and e-mail reminders can be beneficial, but it is important to remember
there are limitations to social media and technology.
Coalitions between medical associations and local health departments could help determine
outreach strategies.
Continuing education for healthcare providers on the importance of vaccine is essential.
Finances
• Creating user-friendly grants and requiring a needs-assessment prior to awarding funds.
• Schools are an ideal place to establish educational outreach; however, funding for school-located
clinics can be challenging, and equipment, such as proper refrigeration, is not always available.
• Educating the community about services provided by federal and state programs.
Global Measurements
• Better communication to explain the vaccine schedule
differences between Mexico and United States. Tools for
healthcare providers on how to read immunization cards
Children who migrate across the
border may receive duplicate
from Mexico have been developed and could be shared with
vaccine doses due to misplaced
a larger audience to help providers better comprehend
records, lack of immunization
variations between schedules.
information systems, or complexity
• Strengthening global health information systems to monitor
of the immunization record.
vaccine coverage, effectiveness, and safety. Incentives or
penalties connected to reporting could generate motivation.
• Developing a bi-national EHR system. Lack of information sharing and duplication of IIS entries
remain barriers to efficient bi-national immunization programs. Participants also pointed out
differences in measuring vaccination coverage (Mexico counts total doses of vaccine administered
rather than completion rates as done in the United States) could lead to difficulties in comparing
immunization rates.
NEXT STEPS
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Explore grants to state and local health departments to tailor communications efforts to their unique
needs.
Pilot test local communication strategies for border health communities and migrant health issues, and
share findings with a wider community.
Improve immunization information systems capabilities to allow for sharing of vaccine data between
states and perhaps across country borders.
Provide education and create widely available tools to assist United States healthcare providers with
understanding the Mexican vaccination schedule.
Pilot test school-located vaccination clinics to measure effectiveness and determine utility of vaccine
administration in this setting.
National Vaccine Plan Implementation: Summary of Stakeholder Meeting
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APPENDIX
Future Deliverables to Address Identified Barriers
As part of other vaccine-related efforts, initiatives to address barriers identified during stakeholder meetings are
underway. The information gained from stakeholder meetings further supports and advances the programs
already in place. This chart illustrates ongoing activities to address identified barriers. This list is not all-inclusive,
and focuses on national-level projects and initiatives that may have outcomes at the state and local level.
Current and Ongoing Activities to Address Issues Raised
Issue
Lead
Organization
Product Developed
Communications
ASTHO
Developed a communications toolkit.
http://www.astho.org/Communicating_Effectively_About_Vaccines/
Develops, tests, and updates messaging and materials to promote
immunization among providers and consumers.
http://www.cdc.gov/vaccines
Translated vaccines.gov into Spanish, available at:
http://es.vaccines.gov/
Coordinates vaccine safety activities across the Department of
Health and Human Services (HHS).
Coordinating discussions with interagency HHS partners on
developing a vaccine safety scientific agenda.
Held the first National Adult Immunization Summit in 2012.
CDC
NVPO
Vaccine Safety
NVPO
NVPO
Adult Vaccines
NVPO, AMA,
CDC
NVAC
Vaccine Financing
NVPO
Third Party Billing
CDC
NACCHO
Immunization Information
Systems (IIS)
CDC
Electronic Health Records
(EHRs)
ONC, CMS, and
CDC
ASTHO
Developed a set of national recommendations for improving adult
immunization in 2011 that will be published in 2012.
Leads a cross-HHS working group on vaccine financing, delivery, and
access, including, but not limited to, the Affordable Care Act and
public and private insurance programs. Engages with nongovernment partners to discuss solutions to priority financing issues.
Funding and assisting 28 state grantees to develop and implement
billing systems for vaccines.
Developing a national toolkit to help states develop and implement
billing systems for vaccines.
Provides technical assistance to states to improve their IIS; works
with Office of the National Coordinator for Health Information
Technology (ONC) and CMS to promote improvements in IIS that will
lead to bi-directional data exchange.
Develops and monitors implementation of national standards for
health information technology, including bi-directional data
exchange between IIS and EHRs. Funds grant programs such as the
RECs, Beacon Communities, and Health Information Exchanges (HIE)
to promote development and pilot novel implementation projects.
Monitors and communicates trends in Health Information
National Vaccine Plan Implementation: Summary of Stakeholder Meeting
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School Located Vaccine Clinics
(SLV)
ASTHO,
NACCHO, and
NASN
Pharmacies
HHS
ASTHO
Technology (HIT) to state public health agencies. Provides policy
assistance to state public health agencies in dealing with Meaningful
Use and HIT.
Worked collaboratively to develop an SLV clinics white paper that
summarized the deliberations of a meeting to identify barriers and
solutions.
Working with the American Pharmacists Association to discuss
influenza vaccine programs for disparate and underserved
populations.
Created an advisory group to address barriers to providing vaccines
at pharmacies (i.e., communication of data to public health
departments and reimbursement by insurance).
________________________
This publication was supported by cooperative agreement number U38HM000454 from the Centers for Disease Control and
Prevention. Its contents are solely the responsibilities of the authors and do not necessarily represent the official views of
the Centers for Disease Control and Prevention. Please contact Kimberly Martin ([email protected]) regarding any
questions about this report.
National Vaccine Plan Implementation: Summary of Stakeholder Meeting
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Acronyms and Abbreviations
AHIP
AI/AN
AMA
ASTHO
CDC
CMS
EHR
FERPA
HHS
HIE
HIT
HITECH
HL7
IIS
IHS
NACCHO
NASN
NIHB
NVAC
NVPO
ONC
REC
RPMS
VAERS
VFC
VIS
America’s Health Insurance Plans
American Indian and Alaska Native
American Medical Association
Association of State and Territorial Health Officials
Centers for Disease Control and Prevention
Centers for Medicare and Medicaid Services
Electronic Health Record
Family Educational Rights and Privacy Act
Department of Health and Human Services
Health Information Exchange
Health Information Technology
Health Information Technology for Economic and Clinical Health Act
Health Level 7
Immunization Information Systems
Indian Health Service
National Association of County and City Health Officials
National Association of School Nurses
National Indian Health Board
National Vaccine Advisory Committee
National Vaccine Program Office
Office of the National Coordinator for Health Information Technology
Regional Extension Centers
IHS's Resource and Patient Management System
Vaccine Adverse Event Reporting System
Vaccine for Children
Vaccine Information Statements
References
¹U.S. Department of Health and Human Services, Indian Health Services. Available at http://www.ihs.gov/index.cfm?module=ihsIntro.
Accessed February 1, 2012.
²U.S. Department of Commerce, U.S. Census Bureau. Available at http://quickfacts.census.gov/qfd/states/00000.html. Accessed February
1, 2012.
³U.S. Department of Health and Human Services, Indian Health Services. IHS Fact Sheet: 2011. Available at
http://www.ihs.gov/PublicAffairs/IHSBrochure/Population.asp. Accessed February 1, 2012.
⁴Centers for Disease Control and Prevention. Deaths Related to 2009 Pandemic Influenza A (H1N1) Among American Indian/Alaska
Natives --- 12 States, 2009. December 11, 2009 / 58(48);1341-1344. Available at
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5848a1.htm
National Vaccine Plan Implementation: Summary of Stakeholder Meeting
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Association of State and Territorial Health Officials
2231 Crystal Drive, Suite 450
Arlington, VA 22202
202.371.9090 tel
202.371.9797 fax
www.astho.org